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Mark Daniel Moore

School Psychologist

100 Miner St
Crescent City , Illinois 60928-8092

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Mark Daniel Moore

School Psychologist

100 Miner St
Crescent City , Illinois 60928-8092

(815) 683-2662

Write a Review Save Call

Mark Daniel Moore

School Psychologist

100 Miner St
Crescent City , Illinois 60928-8092

(815) 683-2662 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • School Psychologist

Languages spoken

  • English

Location

100 Miner St Crescent City , Illinois 60928-8092

First Address

  • Mark Daniel Moore
  • 100 Miner St
  • Crescent City, IL
  • Zip : 60928-8092
  • Phone : (815) 683-2662

Second Address

  • Mark Daniel Moore
  • 100 Miner St
  • Crescent City, IL
  • Zip : 60928-8092
  • Phone : (815) 683-2662

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FAQs


Where did Mark Daniel Moore attend graduate school?

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Where did Mark Daniel Moore do his residency?

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Where did Mark Daniel Moore do his fellowship?

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Is Mark Daniel Moore board certified?

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What type of doctor is Mark Daniel Moore

School Psychologist

In what state does Mark Daniel Moore practice in?

Illinois

Where is Mark Daniel Moore ’s practice located?

100 Miner St , Crescent City, Illinois, 60928-8092

What is Mark Daniel Moore ’s gender?

Male

Is Mark Daniel Moore a sole practitioner?

No

Is Mark Daniel Moore accepting new patients?

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What languages does Mark Daniel Moore speak?

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Does Mark Daniel Moore accept insurance?

Yes, Mark Daniel Moore accepts insurance

Does Mark Daniel Moore offers telemedicine?

Mark Daniel Moore has not indicated if he offers telemedicine

What is Mark Daniel Moore ’s professional license number?

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What is Mark Daniel Moore ’s NPI number?

1073031019

Does Mark Daniel Moore have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 103TS0200X School Psychologist 1986210 IL

National Provider Identifier

NPI 1073031019
Provider Name Mark Daniel Moore
First Address Crescent City, IL 60928-8092
Second Address Crescent City, IL 60928-8092
Gender M
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 30/08/2017
Last Update Date 20/06/2018

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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